Individual
AMANDA BROOK HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
518 OLD US 221 HWY, RUTHERFORDTON, NC 28139-8670
(828) 287-7655
Mailing address
3014 PATRIOT DR, CAPE GIRARDEAU, MO 63701-2683
(573) 275-8089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109
—
NC
Enumeration date
06/12/2021
Last updated
06/12/2021
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